| NPI | 1508002361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS023052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N9252) |
| 208000000X Pediatrics (Licence: PA OS023052) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-08-29 |